Gut feeling: probiotic shows promise for anxiety relief
NCT ID NCT05964231
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a probiotic called Lactobacillus paracasei PS23 can reduce anxiety symptoms in adults with generalized anxiety disorder. Participants took either the probiotic or a placebo for a period, and researchers measured changes in anxiety levels, sleep, and gut health. The goal is to see if improving gut bacteria can positively affect mood and mental health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Lactobacillus paracasei PS23 (a probiotic)
- What this could lead to
- If it works, this could point toward a simple probiotic supplement to help reduce anxiety and improve sleep.
- What could go wrong
- This is a small, early-stage study (71 participants) with no phase designation. The effect may be small or not generalizable, and results are not yet published.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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71 people
The number who actually took part.
- Started
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Aug 2023
- Finished
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Jul 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 20\~70 years old 2. Patients perceived that they had anxiety-related complaints, or with any type of anxiety disorders of adjustment disorders referred from the Departments of Psychiatry, Neurology, Internal Medicine, and Family Medicine in Mackay Memorial Hospital. 3. Adult GAD-7 ≥ 8 points (to screen for generalized anxiety disorder) or a DSM-5 diagnosis of generalized anxiety disorder (F41.1) or unspecified anxiety disorder (F41.9) 4. Those who are currently under the treatment of selective serotonin reuptake inhibitors (SSRI) will only be included if their SSRI treatment has been stable or has not been changed for 4 weeks. Exclusion Criteria: 1. Have taken antibiotics or are receiving antibiotic treatment within one month. 2. Have used probiotic products in powder, capsule or tablet form within two weeks (excluding yogurt, Yakult and other related foods). 3. Patients who have undergone hepatobiliary gastrointestinal surgery (except for colorectal polypectomy and appendectomy). 4. Past or current patients with inflammatory bowel disease. 5. Those with a history of cancer. 6. Those who are allergic to lactic acid bacteria products. 7. Patients with severe depression (Patient Health Questionnaire-9 (PHQ-9) ≧ 20 points), or possible neurocognitive impairments (Mini-Mental States Examination (MMSE)\<20), or those that had suicidal ideation noted on item 9 from PHQ-9. 8. Patients with chronic psychiatric diseases who are currently taking drugs to treat acute diseases, organic brain diseases, or newly diagnosed or changed drugs within one month. 9. Those who are receiving parenteral nutrition. 10. Those who are evaluated by the principal investigator to be unsuitable to participate in the research.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Mackay Memorial Hospital
Taipei, 10448, Taiwan
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